NPI 1437219698

Glenn J Waldt, DO

Practitioner Neuromusculoskeletal Medicine & OMM Physician Las Cruces, NM

Practice location

Address: 2803 Doral CT, Las Cruces, NM 88011-8616
Phone: (046) 984-4063
Fax: (877) 532-2113
Mailing address: 1180 Commerce Drive #14222, Las Cruces, NM 88011-8255

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence A045921 (NM)

Other Neuromusculoskeletal Medicine & OMM providers in New Mexico →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1437219698
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2006
Record last updated: 8 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.